Individual
ALEXANDRIA TROUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Contact information
Practice address
2923 JACKSON HWY, CHEHALIS, WA 98532-8650
(360) 996-4778
(360) 996-4783
Mailing address
2923 JACKSON HWY, CHEHALIS, WA 98532-8650
(360) 996-4778
(360) 996-4783
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61577000
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA61577000
WA MASSAGE LICENSE
WA
Enumeration date
09/05/2024
Last updated
09/05/2024
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